SILVER 2400/80/COPAY 35 PLAN

for Individuals and Families

MAJOR PLAN BENEFIT

Our Bronze plans are ideal for the person who wants basic coverage and don’t see your doctor too often. This plan has lower monthly premiums but a higher deductible than other plans, so you can maintain your health while giving you peace of mind in case you get injured or sick unexpectedly.

HEALTH PERKS

PREVENTIVE CARE Even if you haven’t met your yearly deductible, you can still get the free, in-network preventive care recommended under the Affordable Care Act. Preventive care includes certain screenings, vaccines, and annual physicals when performed by an in-network provider.

CGHC DOCTOR LINE The CGHC Doctor Line, powered by Teladoc, Inc is a new service that allows you to receive treatment from a Board Certified, licensed physician via phone, video, or mobile app. The first three consultations are free for most CGHC members except for those in a Health Savings Account (HSA) compatible plan, due to federal HSA rules. If you have satisfied your three free visits, or you are in an HSA plan, you will pay $40 or your PCP co-pay, whichever is less. Click here to learn more about the CGHC Doctor Line!

URGENT CARE COPAY EQUAL TO A PCP VISIT We understand the importance of enabling you to see a doctor when you need to, which may not always be during typical office hours.

COVERAGE FROM ANY PHARMACY This plan does not limit you to certain in-network pharmacy providers.

EMERGENCY CARE, ANYWHERE, IS IN-NETWORK Services that meet the definition of emergency are covered as in network even when care is delivered in a non-network ER.

GET THE MOST FROM YOUR PLAN

Most of your healthcare costs are paid after you hit your deductible and out-of-pocket maximum. Once you’ve met your deductible during the plan year, CGHC will pay 80% of all your in-network health bills until you reach your Out-of-Pocket Maximum of $6,850 (more for families and out-of-network providers). At that point, we’ll cover 100% of your in-network, covered medical bills for the rest of the year.

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Common Ground Healthcare Cooperative does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.